HomeMy WebLinkAboutAgreement A-15-523-3 with Unilab Corporation dba Quest Diagnostics.pdf-1 -
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THIRD AMENDMENT TO AGREEMENT
THIS THIRD AMENDMENT TO AGREEMENT (hereinafter “Amendment III”) is made and
entered into this 26th day of January, 2021, by and between COUNTY OF FRESNO, a Political
Subdivision of the State of California, Fresno, California (hereinafter “COUNTY”), and UNILAB
CORPORATION dba QUEST DIAGNOSTICS, a California Corporation, whose address is 3714
Northgate Boulevard, Sacramento, California 95834 (hereinafter “CONTRACTOR”).
WITNESSETH:
WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-15-523, dated
October 13, 2015, pursuant to which CONTRACTOR agreed to provide certain clinical laboratory and
toxicology testing services including, but not limited to, supplies for specimen collections, phlebotomy
services, specimen pick up and delivery, laboratory testing, critical value reporting, and routing
laboratory orders for health programs for COUNTY’s consumers and clients; and
WHEREAS, COUNTY and CONTRACTOR entered a First Amendment number A-15-523-1,
dated April 26, 2016 (hereinafter “Amendment I”), pursuant to which CONTRACTOR agreed to an
amended scope of work and schedule of fees to COUNTY; and
WHEREAS, COUNTY and CONTRACTOR entered a Second Amendment number A-15-523-
2, dated June 23, 2020 (hereinafter “Amendment II”), pursuant to which CONTRACTOR agreed to
amend the Agreement in order to extend the term for one additional year and increase the maximum
compensation to allow for COVID-19 testing services (Agreement No. A-15-523, Amendment I, and
Amendment II shall herein be collectively referred to as the “Agreement”); and
WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
further increase the maximum compensation to compensate for the increased volume of testing and
reduce unit pricing for COVID-19 testing services.
NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
1.That all references in the Agreement to “Revised Exhibit C-1” be changed to read
“Revised Exhibit C-2,” attached hereto and incorporated into the Agreement by this reference.
2.That all references in the Agreement to “Revised Exhibit D-1” be changed to read
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Agreement No. 15-523-3
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“Revised Exhibit D-2,” attached hereto and incorporated into the Agreement by this reference.
3.That Section Four (4) of the Agreement, “COMPENSATION,” Subsection A.1), located
on Page Four (4), beginning on line Twenty-four (24) with the word “In” and ending on line Twenty-six
(26) with the word “Agreement.” be deleted and replaced in its entirety with the following:
“In no event shall the maximum amount of compensation paid to CONTRACTOR by
COUNTY’s DPH exceed Two Million Five Hundred Eighty-Five Thousand and no/100 Dollars
($2,585,000.00 during the twelve-month period July 1, 2020 through June 30, 2021.”
4.That Section Four (4) of the Agreement, “COMPENSATION,” Subsection B, located on
Page Six (6), beginning on line Seventeen (17) with the letter “B.”, and ending on line Nineteen (19)
with the word “Agreement.” be deleted and replaced in its entirety with the following:
“B. In no event shall the total maximum compensation amount for this Agreement paid
to CONTRACTOR by COUNTY for actual services rendered exceed Three Hundred Sixty-five
Thousand and no/100 Dollars ($365,000.00) during each of the following twelve-month periods
of this Agreement: July 1, 2015 to June 30, 2016; July 1, 2016 to June 30, 2017; July 1, 2017
to June 30, 2018; July 1, 2018 to June 30, 2019; and July 1, 2019 to June 30, 2020. In no
event shall the total maximum compensation amount for this Agreement paid to
CONTRACTOR by COUNTY for actual services rendered exceed Two Million Eight Hundred
Twenty-five Thousand and No/100 Dollars ($2,825,000.00) during the twelve-month period July
1, 2020 to June 30, 2021.”
5.COUNTY and CONTRACTOR agree that this Amendment III may be signed
electronically and that an electronic signature will have the same force and effect as a
handwritten signature.
COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
Agreement and, that upon execution of this Amendment, the Agreement, Amendment I, Amendment II,
and this Amendment III together shall be considered the Agreement.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
covenants, conditions and promises contained in the Agreement and not amended herein shall remain
in full force and effect.
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II
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1 IN WITNESS WHEREOF , the parties hereto have executed this Amendment Ill as of the
2 day and year first hereinabove written.
3
4 CONTRACTOR:
UNI LAB CORPORATION dba QUEST
5 DIAGNOSTICS
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~
OocuSlgned by:
milk Pluv~tWv
1 F4 4683C EQCZ484
(Authorized Signature)
10 Patrick Plewman, VP & GM
11 Print Name & Title
(Chairman of the Board , or President or Vice
12 President)
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8401 Fallbrook Avenue, west Hills , CA 91304
Mailing Address
FOR ACCOUNTNG
USE ONLY:
Fund:
Subclass :
ORG No.:
Account No .:
0001
10000
5620
7295
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COUNTY OF FRESNO:
Stev Brandau , Chairman of the Board of
Superv isors of the County of Fresno
ATTEST :
Bernice E. Seidel
Clerk of the Board of Supervisors
County of Fresno, State of California
By :
Deputy
Revised Exhibit C-2
Page 1 of 2
SCHEDULE OF FEES
DEPARTMENT OF PUBLIC HEALTH
TEST TEST UNIT
CODE NAME PRICE
1.14742 Amphetamine conf (GC/MS) $ 26.00
2.4846 Cannabinoid conf (GC/MS) $ 127.55
3.11328 Cocaine conf (GC/MS) $ 17.75
4.15860 Opiates conf (GC/MS) $ 24.50
5.6251 Phencyclidine (PCP) conf (GC/MS) $ 38.10
6.N/A Ethanol conf (GC/MS) N/A
7.799 RPR (screening) $ 4.56
8.285 Direct Bilirubin (CPT Code = 82248) $ 3.25
9.287 Total Bilirubin (CPT Code = 82247) $ 3.25
10. 5463 Complete Urinalysis (CPT Code = 81000) $ 4.00
11. 4550 General Bacterial Culture $ 10.00
12. 484 Glucose $ 5.00
13.480 Gonorrhea Culture $ 21.15
14. 497 Gram Stain $ 16.00
15. 7600 Lipid Panel $ 9.00
16. 10256 Liver Function Panel (CPT Code = 80061) $ 4.27
17. 622 Magnesium $ 10.00
18. 10165 Metabolic Panel (CPT Code = 80048) $ 4.46
19. 4503 Mycobacterial Acid Fast Smear $ 21.55
20. 4554 Mycobacterial Culture $ 97.40
21. 718 Phosphorus $ 3.25
22. 17304 SDA for Gonorrhea $ 25.00
23. 17303 SDA for Chlamydia $ 25.00
24. 809 Sed Rate (ESR) Westergren $ 11.15
25. 10108 Stool Culture $ 169.46
26. 859 T-3, Total (CPT Code = 84480)$ 28.40
27. 867 T-4, (Thyroxine), Total $ 16.30
28. 653 TPPA (confirmation)$ 86.00
29. 899 TSH $ 8.00
30. 905 Uric Acid $ 14.35
31. 8563 Urinalysis (Micro only)(CPT Code = 81002)$ 2.16
32. 6448 Urinalysis (w/o Micro)(CPT Code = 81015)$ 1.84
33. 395 Urine Culture $ 11.20
34. 4128 VDRL (CSF only)$ 26.35
35. 6399 CBC with Differential $ 5.00
36. 90858 Coccidioidal Serology Panel $ 153.92
37. 10231 Comprehensive Metabolic Panel* (CPT)$ 5.57
Code = 80053; *different from Metabolic Panel
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Revised Exhibit C-2
Page 2 of 2
SCHEDULE OF FEES
DEPARTMENT OF PUBLIC HEALTH
TEST TEST UNIT
CODE NAME PRICE
38. 496 Hemoglobin A1C Immunoassay $ 47.00
39. 1759 Hemogram (BC w/ platelet count) $ 4.95
40. 512 Hepatitis A Antibody, IgM $ 11.00
41. 501 Hepatitis B Core Antibody $ 11.00
42. 8475 Hepatitis B Surface Antibody $ 11.00
43. 498 Hepatitis B Surface Antigen $ 11.00
44. 8472 Hepatitis C (Anti-HCV) $ 11.00
45. 6447 Herpes Simplex Virus, Type I and II, IgG $ 172.00*
46. 90849 Herpes Simplex Virus, Type I and II, IgM $ 101.00*
47. 10110 HIV 1 and HIV 2 Antibody (HIV Serology) $ 25.00
48. 5233 HIV 1 Western Blot $ 25.00
49. 40085 HIV-1 RNA, QUAL, Real Time PCR (Viral Load Tests) $ 291.00
50. 91431 HIV Screen Only $ 22.50
51. 7195 Lymphocyte Subset Panel $ 50.00
52. FPNR1 PAP, SurePath Focal Point $ 23.75
53. CYTP1 PAP, Thin Layer Prep $ 22.50
54. 5363 Prostate-specific Antigen $ 109.00
55. 8847 Prothrombin Time $ 13.70
56. 10314 Renal Function Panel (CPT Code = 80069) $ 4.83
57. 799 STS (Rapid Plasma Reagin) Qual $ 4.56
58. 899 Thyroid Stimulating Hormone $ 8.00
(3rd Generation)
59. 7195 T-Lymphocyte Helper/CD $ 50.00
60. 3679 Toxoplasma Gondii Antibody IgG $ 59.50
61. 91431 HIV-1/2 Antigens and Antibodies,$ 22.50
(4th Generation, with Reflexes, CPT 91431)
62. 91432 HIV-1/2 Antibody Differentiation, CPT 91432 $ 25.00
63. 39448 SARS-CoV-2 RNA (COVID-19) Qualitative $ 69.00
*Price increases (notified by S. Butler on 11/4/15 that Herpes Simples Virus
testing involved two separate tests and revised prices).
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Revised Exhibit D-2
Page 1 of 2
SCHEDULE OF FEES
DEPARTMENT OF BEHAVIORAL HEALTH
TEST TEST UNIT
CODE NAME PRICE
1. 10306 Acute Hepatitis Panel $ 44.00
2. 2128 Alcohol (Ethanol) Urine $ 75.00
3. 443 Alcohol, Ethyl (B) $ 50.00
4. 423 Amytriptyline $ 45.00
5. 14742 Amphetamine Conf by GC/MS, Urine $ 26.00
6. 10165 Basic Metabolic Panel $ 4.46
7. 8416 Barbiturates by CG/MS Urine $ 75.00
8. 8417 Benzodiazepines Conf (GC/MS) Urine $ 25.00
9. 3259 Blood drawing $ 8.00
10. 329 Carbamazinepine (Tegretol) $ 8.00
11. 6399 CBC (Includes Diff/Plt) $ 5.00
12. 1759 CBC (RBC, H/H, Indices, WBC, Plt) $ 4.95
13. 334 Cholesterol Direct LDL $ 2.00
14. 1769 Clozapine $ 18.75
15. 10231 Comprehensive Metabolic Panel $ 5.57
16. 395 Culture, Urine, Routine $ 11.20
17. 19733 Drug Abuse Panel 9, Serum $ 366.55
18. 2180 Drug Screen with Alcohol $ 25.00
19. 136140 Drug Test, General Toxicology, (B) $ 64.75
20. 136140 Drug Test, General Toxicology, (SP) $ 64.75
21. 29424 EIA 10 $ 50.00
22. 701089 EIA 10 + Alcohol $ 50.00
23. 701033 EIA7 + Alcohol w/ GC/MS $ 50.00
24. 701011 EIA 7 + Alcohol w/o Rflx $ 50.00
25. 457 Ferritin $ 25.00
26. 482 GGT $ 15.00
27. 483 Glucose $ 3.50
28. 484 Glucose, plasma $ 5.00
29. 396 HCG, Total QL $ 4.50
30. 8396 HCG, Total QL $ 14.00
31. 496 Hemoglobin A1C Immunoassay $ 10.00
32. 498 Hep B Surface Ag w/ Reflex Confirm $ 11.00
33. 10306 Hepatic Panel Acute w/ Ref $ 63.00
34. 10256 Hepatic Function Panel $ 4.27
35. 499 Hepatitis B Surface AB, Qual $ 25.00
36. 8472 Hepatitis C $ 11.00
37. 91431 HIV AB, HIV ½, EIA with Reflex $ 22.50
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Revised Exhibit D-2
Page 2 of 2
SCHEDULE OF FEES
DEPARTMENT OF BEHAVIORAL HEALTH
TEST TEST UNIT
CODE NAME PRICE
38. 7573 Iron and IBC w/o Reflex $ 30.00
39. 14852 Lipid Panel with Reflex to Direct LDL $ 9.00*
40. 7600 Lipid Profile $ 9.00
41. 613 Lithium $ 6.00
42. 622 Magnesium, Serum $ 10.00
43. 4846 Marijuana Metabolite, Quant, Urine $ 127.55
44. 272 Nortriptyline $ 20.00
45. 70073 Olanzapine $ 160.00
46. 15860 Opiates, Confirmation by GC/MS, UR $ 24.50
47. 713 Phenytoin (Dilantin) $ 10.00
48. 733 Potassium, Serum $ 3.50*
49. 396 Pregnancy Test, Urine $ 4.50
50. 746 Prolactin $ 30.00
51. 5363 Prostate Specific Antigen (PSA) $ 109.00
52. 10314 Renal Function Panel $ 4.83
53. 2339 Risperidone $ 92.00
54. 701030 RPR/Reflex TPPA $ 70.00
55.39448 SARS-CoV-2 RNA (COVID-19) Qualitative $ 69.00
56. 3820 STAT Charge $ 30.00
57. 701030 STS Titer + T. Pallidum-PA Reflex $ 70.00
58. 859 T3 Total (Triiodothyronine) $ 28.40
59. 861 T3 Uptake $ 10.00
60. 34429 T3, Free $ 50.00
61. 867 T4 (Thyroxine) $ 16.30
62. 866 T4, Free $ 10.00
63. 896 Triglycerides $ 25.00
64. 899 TSH $ 8.00
65. 36127 TSH Reflex to Free T4 $ 8.00*
66. 3020 Urinalysis C + S, If IND $ 4.00
67. 6448 Urinalysis Macroscopic $ 1.84
68. 8563 Urinalysis Microscopic $ 2.16
69. 5463 Urinalysis, Complete $ 4.00
70. 7909 Urinalysis, Macro w/Reflex to Micro $ 1.84*
71. 916 Valproic Acid $ 15.00
72. 7065 Vitamin B-12 and Folate $ 50.00
73. 17306 Vitamin D, 25-hydroxy, LC/MS/MS $ 75.00
*Prices reduced (notified of the price changes on 11/3/15).
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CERTIFICATE OF SECRETARY
I, William J. O’Shaughnessy, Jr., Secretary of Quest Diagnostics Incorporated, a
corporation organized under the laws of the State of Delaware (the ''Co rporation'') and of
Unilab Corporation, a corporation organized under the laws of Delaware (the “Company”), do
hereby certify that:
1.Patrick T. Plewman is Vice President and General Manager of the Corporation; and
2.the resolutions set forth below are a true and complete copy of the resolutions adopted
by written consent of the Board of Directors of the Company on September 30, 2013,
which resolutions are in full force and effect as of the date hereof.
Confer Authority to Execute and Deliver Documents and Agreements
RESOLVED, that:
(i)each Senior Vice President and each Vice President of Quest
Diagnostics Incorporated (Delaware) (the “Parent”), and
(ii)each person elected Senior Vice President or Vice President of the
Parent after the date hereof, and
(iii)each person who may be authorized, now or hereafter, by the
President of Parent, to sign documents and agreements on behalf of
the Parent
shall have and possess the authority to execute and deliver documents and agreements
on behalf of the Company, to the same extent, and using the same title that the person
holds in the Parent, as if the person were an officer of the Company; and
FURTHER RESOLVED, that the authority conferred hereby shall remain in
effect until such time that the person having authority conferred hereby ceases to be an
officer of the Parent, or is no longer employed by the Parent or any subsidiary
thereof. When the person ceases to be an officer of the Parent, or is no longer employed
by the Parent or any subsidiary thereof, the authority conferred hereby shall pass to the
person’s successor in office and no new resolution conferring authority shall be
required to confer authority upon that successor.
IN WITNESS WHEREOF, I have hereunto set my hand this 6th day of August, 2018.
____________________________________
William J. O’Shaughnessy, Jr.
Secretary
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